Ageing brings alterations in body composition, as skeletal muscle gradually declines and accumulation of adipose tissue accompanies it. Although sarcopenia (S) and obesity (O) were separately reported to be associated with frailty and poor physical performance, whether they bring more detrimental or favorable effect when they coexist (i.e. sarcopenic obesity; SO) is an issue needs clarification. We aimed to study the associations of SO and S alone with frailty and poor physical performance, by using probable S definition.

This was a retrospective, cross-sectional study including community dwelling older adults who were ≥60 years old and admitted to the outpatient clinic of a tertiary hospital between 2012 and 2020. We measured handgrip strength via hand dynamometer and defined decreased muscle strength as probable S. We performed bioimpedance analysis to evaluate body composition and used fat percentile method to define obesity. We assessed nutritional status via Mini-Nutritional Assessment-Short Form, fred TUG risk.

Although SO and S groups demonstrated similar risks, obesity accompanying sarcopenia might show a favorable trend in terms of frailty and poor physical performance, compared to sarcopenia alone. Longitudinal studies are needed to reveal whether an obesity paradox exists for frailty and physical performance in older adults.
Although SO and S groups demonstrated similar risks, obesity accompanying sarcopenia might show a favorable trend in terms of frailty and poor physical performance, compared to sarcopenia alone. Longitudinal studies are needed to reveal whether an obesity paradox exists for frailty and physical performance in older adults.
Hypophosphatemia during critical illness has been associated with adverse outcome. The reintroduction of enteral or parenteral nutrition, leading to refeeding hypophosphatemia (RFH), has been presented as potential risk factor. We investigated the occurrence of early RFH, its association with clinical outcome, and the impact of early parenteral nutrition (PN) on the development of early RFH in pediatric critical illness.

This is a secondary analysis of the PEPaNIC randomized controlled trial (N=1440), which showed that withholding supplemental parenteral nutrition (PN) for 1 week (late-PN) in the pediatric intensive care unit (PICU) accelerated recovery and reduced new infections compared to early-PN (<24h). Patients with renal replacement therapy or unavailable phosphate concentrations were excluded from this analysis. Early RFH was defined as serum/plasma phosphate <0.65mmol/L and a drop of >0.16mmol/L within 3 days of admission to the PICU. The association between baseline characteristics and sphate concentrations in patients, especially of those at risk for early RFH.
Obesity, defined by the World Health Organization as body mass index (BMI)≥30.0kg/m
, is associated with adverse outcomes and challenges during surgery. Difficulties during endotracheal intubation, occur in 3-8% of procedures and are among the principal causes of anesthetic-related morbidity and mortality. Endotracheal intubation can be challenging in obese patients due to an array of anatomic and physiologic factors. Double lumen tubes (DLTs), the most commonly used airway technique to facilitate anatomic isolation of the lungs for one lung ventilation. However, DLTs can be difficult to properly position and are also more likely to cause airway injuries and bleeding when compared to conventional single lumen tubes. We investigated the association between BMI and difficult tracheal DLT intubation.

Retrospective cohort study.

Operating room.

We analyzed electronic records of adults having cardiac and thoracic surgery requiring general anesthesia and endotracheal intubation with DLT at the Cleveland Clr thereof. For example, an increase in BMI from 20 to 40 kg/m2 corresponds to an increase in average absolute risk for difficult intubation from 16 to 19%, which probably is not clinically meaningful.The prevalence of obesity is increasing, and the coexistence of obesity and systemic lupus erythematosus (lupus) is possible. https://www.selleckchem.com/products/cpi-0610.html A high-fat diet (HFD) was orally administered for 6 months in female 8-week-old Fc gamma receptor IIb deficient (FcgRIIb-/-) lupus or age and gender-matched wild-type (WT) mice. Lupus nephritis (anti-dsDNA, proteinuria, and increased creatinine), gut barrier defect (fluorescein isothiocyanate dextran), serum lipopolysaccharide (LPS), serum interleukin (IL)-6, liver injury (alanine transaminase), organ fibrosis (liver and kidney pathology), spleen apoptosis (activated caspase 3), and aorta thickness (but not weight gain and lipid profiles) were more prominent in HFD-administered FcgRIIb-/- mice than the obese WT, without injury in regular diet-administered mice (both FcgRIIb-/- and WT). In parallel, combined palmitic acid (PA; a saturated fatty acid) with LPS (PA + LPS) induced higher tumor necrotic factor-α, IL-6, and IL-10 in the supernatant, inflammatory genes (inducible nitric oxide synthase and IL-1β), reactive oxygen species (dihydroethidium), and glycolysis with reduced mitochondrial activity (extracellular flux analysis) when compared with the activation by each molecule alone in both FcgRIIb-/- and WT macrophages. However, the alterations of these parameters were more prominent in PA + LPS-administered FcgRIIb-/- than in the WT cells. In conclusion, obesity accelerated inflammation in FcgRIIb-/- mice, partly due to the more potent responses from the loss of inhibitory FcgRIIb against PA + LPS with obesity-induced gut barrier defect.
Castleman disease (CD) encompasses a spectrum of rare disorders with characteristic histopathological features. Unicentric CD (UCD) is a benign, local hyperplasia of lymphoid tissue that is usually curable. Multicentric CD (MCD) manifests as a potentially life-threatening systemic disease with complex symptomatology which is mostly due to an overproduction of interleukin-6 (IL-6) or dysregulation of IL-6-related signaling pathways. From a therapeutic perspective, it is important to distinguish idiopathic MCD (iMCD) from those cases that are associated with the human herpesvirus-8 (HHV-8 + MCD).

During recent years, it has become increasingly clear that even HHV-8-negative MCD is not a homogeneous entity and that there are clinically distinct variants. International consensus guidelines for diagnosis and treatment have been developed for iMCD and UCD.

We herein summarize recent advances in diagnosis, treatment, and novel insights into the pathogenesis of this disease.
We herein summarize recent advances in diagnosis, treatment, and novel insights into the pathogenesis of this disease.Coastal estuaries, characterized by highly varying waters with complex optical properties, pose challenges for effective oil discrimination via optical remote sensing. In this study, an object-based spectra comparison (OBSC) approach was proposed to extract emulsified oil slicks from Balikpapan Bay, Indonesia, using optical imagery from Sentinel-2 Multispectral Instrument (MSI) and PlanetScope. The OBSC approach utilizes the spectral signatures of oil emulsion to develop emulsified oil index and normalized emulsified oil index to identify potentially emulsified oil objects from MSI and PlanetScope, respectively. Reflectance spectra of the potential objects were compared with those from dynamically-selected nearby waters to rule out false-positive detections, accounting for the varying water optical properties in the estuary. This OBSC approach performed well in extracting emulsified oil slicks from optical images. Moreover, multiple sensor capabilities for oil detection were compared, and requirements for detection and discrimination of oil spills in the coastal estuary environment were further discussed.Mangroves are often exposed to heavy metals that accumulate in the food chain, generate toxicity to mangrove plants and affect microbial diversity. This study determined the abundance of genes associated with resistance and tolerance to heavy metals in the rhizosphere microbiome of Avicennia germinans from a semi-arid mangrove of La Guajira-Colombia by metagenomics and genomics approach. Twenty-eight genes associated with tolerance and 49 genes related to resistance to heavy metals were detected. Genes associated with tolerance and resistance to Cu, especially cusA and copA, were the most abundant. The highest number of genes for tolerance and resistance were for Zn and Co, respectively. The isolate Vibrio fluvialis showed the ability to tolerate Cu, Ni, Zn, and Cd. This work used a complementary approach of metagenomics and genomics to characterize the potential of mangrove microorganisms to tolerate and resist heavy metals and the influence of salinity on their abundance.The present study aims to analyze the level and total toxicity of the most common pollutants in surface sediments and assess their impact on the occurrence of antibiotic resistance genes (ARGs) in the Sea of Azov. Biotesting using the whole-cell bacterial lux-biosensors showed high integral toxicity of surface sediments and the presence of genotoxicants and substances that cause oxidative stress and protein damage. Using cluster analysis, it was shown that the distribution of pollutants in the Sea of Azov depends on the type of surface sediments. The relative abundance and distribution of 14 ARGs in surface sediments were shown. Principle component analyses results suggest that non-corresponding contaminants do not exert direct influence on the ARGs abundance in the surface sediments of the Sea of Azov. Thus, the need to investigate the significance of non-corresponding pollutants in the selection and distribution of ARGs in the aquatic environment remains a pressing problem.The coastal in-situ capping method can sequester contaminated sediment and suppress sediment resuspension. Few studies have investigated the suppression of sediment resuspension induced by calcium eluted from in-situ capping materials. We investigated the physicochemical suppression of calcium on sediment resuspension. A resuspension experiment was conducted in an annular flume using coastal sediment mixed with 0 g (CSM0), 1 g (CSM1), 5 g (CSM5), and 10 g (CSM10) of Ca(OH)2 under a stepwise increase in bottom shear stress. Calcium enhanced sediment erosion resistance, decreasing suspended sediment concentrations. Exponentially increased SSC in CSM0 and CSM1 was three times higher than that in linearly increased CSM10. Viscosity in CSM10 was approximately three times higher than that in CSM0 and CSM1. Calcium-induced cation exchange increased sediment viscosity via sediment structural rearrangement, calcium-silicate-hydrate production, and the development of larger aggregates. Consequently, calcium suppressed sediment resuspension by physiochemically changing the sediment properties.This work builds upon recent developments in the field of second dimensional (2D) retention indices (RI) for use in comprehensive two-dimensional gas chromatography (GC×GC), expanding application to the most commonly used "normal" orthogonality column configuration, where 2D RI are rarely employed. Initially, one dimensional retention indices for 80 wastewater pollutants were determined by GC-MS on a mid-polar ZB-50 column. In order to determine the 2D RIs for peaks detected in wastewater extracts separated by GC×GC -MS, a single injection of a ten-compound standard mix allowed the construction of model-generated isovolatility curves. These curves were used for the determination of 2D RIs of compounds initially identified on the basis of the mass spectral match factor and 1D RIs. Good agreements (average deviation of 1.7%) were observed between the calculated 2D RIs and the measured reference RIs for these compounds. These results show that this approach provides an additional level of confidence for the identification of compounds detected in GC×GC-MS and demonstrates the potential of this approach for improved compound identification in non-targeted analysis.